[0001] The present application relates to medical monitoring and clinical data display devices
for monitoring the physiological condition of a patient. It finds particular application
in improving the configuration and accessibility of patient information on a patient
monitoring, central station monitor or multi-patient dashboard display device and
will be described with particular reference thereto.
[0002] Presently, central station or other multi-patient monitoring devices have a fixed
area or sector of a display assigned to each patient bed. The monitoring sectors display
the patient's identification, monitored physiological data, status, alarms, and the
like. If no patient is in the bed, the sector is blank but remains allocated. Each
sector typically displays several physiological parameters for each patient, such
as an EGG signal, a respiration signal, pulse rate, blood pressure, SpO2, and other
indicators of patient health or well being, and the like. As more physiological parameters
are monitored, the displayed information is compressed or displayed in a smaller harder
to read size, or the like in order to fit in the fixed sector assigned to the patients.
As simple patient worn physiological parameter measuring devices become more widely
available, more and more physiological parameters are being measured for each patient.
[0003] The present application provides a new and improved patient monitoring device which
overcomes the above-referenced problems and others.
[0004] The invention is set out in the appended set of claims. Document
EP1852060A1 discloses a system that represents the closest prior art.
[0005] One advantage of the present invention resides in the automatic creation of display
sectors as needed.
[0006] Another advantage resides in the easier readability of physiological data of patients
most in need of monitoring.
[0007] Another advantage resides in reducing screen clutter and distractions from the physiological
data of patients not in current need of attention.
[0008] Still further advantages of the present invention will be appreciated to those of
ordinary skill in the art upon reading and understand the following detailed description.
[0009] The invention may take form in various components and arrangements of components,
and in various steps and arrangements of steps. The drawings are only for purposes
of illustrating the preferred embodiments and are not to be construed as limiting
the invention.
FIGURE 1 is a diagrammatic illustration of a patient display monitor in accordance
with the present application.
FIGURE 2 is a ten sector display with an automatically collapsed sector and a manually
collapsed sector.
FIGURE 3 is a flowchart diagram of the operation of a patient display monitor in accordance
with the present application.
FIGURE 4 is a ten sector display with sectors sent to the background with an auto-expand
on alarm.
FIGURE 5 is a patient display monitor within a bedside patient monitor.
[0010] With reference to FIGURE 1, a patient monitoring station
10 monitors a plurality of patient beds
12, e.g., in a centralized, multi-patient clinical display station. The patient monitoring
station
10 is frequently centrally located in reference to the beds
12 that it monitors, such as a nurse's station, or the like. The patient in each of
the patient beds
12 has one or more remote medical devices
8 that measure physiological parameters of the patient and generate physiological data
indicative thereof. These remote medical devices
8 include ECG sensors, IV fluid pumps, blood pressure sensors, SpO2 sensors, pulse
sensors, thermometers, respiratory sensors, and exhaled gas sensors. Of course, other
remote medical devices
8 can be associated with a patient, and not all of the above-mentioned remote medical
devices
8 have to be associated with a patient at any given time. As used herein, medical devices
signifies data sources indicating patient health or caregiver workflow, e.g., a medical
administration scheduler.
[0011] The remote medical devices
8 report the measured physiological data to a local buffer
14. The buffer
14 serves as a gathering point for the physiological data measured by the remote medical
devices
8, and provides temporary storage for the data. The local buffer
14, for example may be a patient's bedside monitor, a monitor that travels with the patient,
such as the transmitter of an ambulatory patient worn monitoring system, or the like.
The local buffer
14 may also be a more permanent fixture, such as a wall-mounted monitor that is permanently
associated with each bed, a group of beds, or a room. The communication links between
the remote medical devices
8 and the local buffer
14 may be wireless, hard wired, or a combination of both. Similarly, the remote medical
devices
8 may be powered by battery, external AC power, or a combination of both.
[0012] The local buffers
14 communicate with the patient monitoring station
10. The physiological data can be communicated continuously or periodically. For a given
patient, some data may be communicated continuously, such as EGG, and other data,
such as blood pressure, periodically. A controller
16 receives the measured physiological data from the buffers
14 of as many patient beds
12 for which the patient monitoring station
10 is responsible. The controller
16 then controls a display
18 of the patient monitoring station
10 to display the measured physiological data received from each patient in a corresponding
sector
26. The controller
16 automatically creates sectors
26 of the display
18 corresponding to a configured patient bed
12. The patient monitoring station
10 also includes a user interface
20 that allows the user, such as a caregiver, a patient group like a surgical, medical,
or covering physician, to view and/or manipulate the data displayed on the display
18. The interface
20 can be a separate component or integrated into the display
18 such as with a touch screen monitor. Additionally, the controller
16 includes a collapsing unit
22 and an expanding unit
24 to control or manipulate the sectors
26 of a display
18 assigned to a particular caregiver, patient, room, device, and so forth. The collapsing
22 and expanding
24 units may include a processor or computer, software, hardware, or the like.
[0013] The controller also includes a processor
25, for example, a microprocessor which is configured to execute patient monitoring software
for performing the operations described in further detail below and, optionally, collapsing
or expanding software. Typically, patient monitoring software will be stored in a
memory or a computer readable medium
23 and be executed by the processor
25. Types of computer readable medium
23 include memory such as a hard disk drive, CD-ROM, DVD-ROM and the like. Other implementations
of the processor
25 are also contemplated. Display controllers, Application Specific Integrated Circuits
(ASICs), and microcontrollers are illustrative examples of other types of component
which may be implemented to provide functions of the processor
25. Embodiments may be implemented using software for execution by a processor, hardware,
or some combination thereof.
[0014] Optionally, a physiological data evaluation unit
27 evaluates the physiological data from each patient and decides whether the patient's
sector
26 should be expanded or collapsed. For example, the evaluation checks for alarms, whether
each measured parameter is approaching threshold values, whether a trend of any parameter
is approaching a threshold, whether any parameter lacks stability or fluxuates too
much, combinations of parameters are approaching a threshold, and other indicators
that a patient needs more or less medical monitoring. The thresholds include values
exceeding a limit based on time, severity, escalation, or the like. The physiological
evaluation unit may include a suitable programmed computer or processor, software
applied by the processor
25, or the like.
[0015] The communications links between the buffers
14 and the patient monitoring station
10 may be wireless. If the buffer
14 is embodied, for example, in a local monitor mounted on an IV stand or worn, the
patient can leave the immediate vicinity, taking the buffer
14 along. Wireless communication between the buffer
14 and the patient monitoring station
10 allows greater mobility for the patient while still being able to monitor the selected
parameters of the patient. If the buffer
14 is embodied in a more permanent fixture, the communications links between the buffers
14 and the patient monitoring station
10 may be hard lines, such as standard Ethernet network cables.
[0016] As mentioned previously, the controller
16 directs the display
18 to display the information received from the various buffers
14. With reference now to FIGURE 2, the display
18 of the patient monitoring station
10 is divided into sectors
26, each sector
26 representing information received from one buffer device
14, that is, from one patient. Ten sectors
26 are illustrated in FIGURE 2, but more or fewer sectors are also contemplated. The
number of sectors
26 per patient monitoring station
10 could be dictated by the size of the display
18, the patient to monitoring station
10 ratios, the number of patient beds
12, and other factors. As illustrated, each of the sectors
26 of the display
18 corresponds to one patient bed. Physiological data associated with each patient is
displayed within a corresponding sector
26. When no patient is admitted to a specific bed
12 or the patient monitoring station
10 is not receiving information from a buffer
14, a message
28 is displayed indicating that no patient is admitted. Rather than leaving the empty
sector
29 full size, the collapsing unit
22 collapses the empty sector
44 and the expanding unit
24 expands the other sectors
26 to use the space freed up when the sector
44 is collapsed.
[0017] The sectors
26 of the display
18 have various sub-displays corresponding to the information received from the buffer
14. For example, the sector
26 has a patient ID sub-display
30 where the patient's name, bed or room number, assigned patient group, caregiver or
team, and other identifying information, such as a unique hospital ID are displayed.
An ECG sub-display
32 displays the latest ECG readings received from the buffer
14 about the patient. A pulse sub-display
34 displays the latest pulse rate readings of the patient. A blood pressure sub-display
36 displays the latest blood pressure reading from the patient. There may also be SpO2
display
37, end tidal CO2 (et CO2 display), respiration displays, and the like. Typically, due
to space limitations, only three or four values can be displayed on the sector
26. Each additional sector
26 displays similar information, with the exception that each sector
26 represents a separate patient. Also, each sector
26 can be configured independently. The processor
25 can be programmed to display different information based on what clinical or workflow
condition is present at the time of the event.
[0018] The patient monitoring station
10 includes an alarm, such as a visual alarm
38 e.g. in each sector, an audio alarm speaker, or so forth. If one or more of the physiological
data exceeds a threshold (such as a trended heart rate going below a lower threshold,
or a trended blood pressure going above an upper threshold), then the alarm
38 suitably activates to warn medical personnel of a potential problem with specific
alarm information being displayed on display
18. The patient monitoring station
10 also includes an indicator of a pending patient event, such as a visual alarm
40. If one or more of the physiological data exceed a certain predetermined threshold
that indicate a possible patient event, such as low battery, leads have come off,
or the like, the alarm
40 activates to warn medical personal of a potential event.
[0019] The controller
16 of the patient monitoring station
10 controls the display
18 to display the sectors
26 of the display in an expanded format
42 or a collapsed format
44. As illustrated, the upper right sector
26 of the display
18 is displaying the corresponding information received from the buffer
14 in the expanded format
42. The sector
26 with the expanded format
42 displays a full data representation of the information received from the buffer
14 including the patient ID and multiple sub-displays of physiological data and patient
statuses as a full or expanded size object on the display
18. The collapsed format sector
44 is configured to display limited data representation of information received from
the corresponding buffer
14 as a small object on the display
18. Such limitations can preferably be provided according to personal criteria, e.g.
the patient monitors of a care group (which is usually taken care by one nurse or
a specific group of nurses), a patient's highest priority physiologic data, or according
to locality criteria, e.g. the patient monitors of a specific room in a hospital.
This status information is preferably displayed by means of symbols, pictograms, codings,
and/or alphanumeric signs. The content of the expanded area could be text only or
a combination of symbols, pictograms, codings, and/or alphanumeric signs.
[0020] The size and location of the collapsed format
44 and expanded format
42 sectors depends on the specific screen configurations of the display
18. In one embodiment, the size of the collapsed format
44 and expanded format
42 sectors are sized such that all of the collapsed format sectors
44 are of uniform size and all of the expanded format sectors
42 are of uniform size. In yet another embodiment, the collapsed format
44 and expanded format
42 sectors are scaled so that they fit within a boundary of the display
18. In another embodiment, the size of the expanded format
42 sectors is based on the severity of the patient event or alarm condition. Additionally,
the size of the expanded format sector
42 can be based on the time that has elapsed since the patient event or alarm condition
was encountered. For example, after an alarm condition has been resolved, the sector
can shrink gradually over time. The size of the collapsed format
44 and expanded format
42 sectors can also be increased or decreased in size in order to display more detailed
information about one or more patients. In one embodiment, the collapsed format
44 and expanded format
42 sectors corresponding to actively monitored patients can only be reduced or increased
to a size to a predefined minimum or maximum size in order to still enable the monitoring
of the all of the sectors
26 of the display
18. It is also preferred that the expanded format
42 and the collapsed format
44 sectors not overlap each other or only overlap temporarily. The size and automatic
window generation can be based on alarm severity as well as time the condition is
persistent. Border decoration, background intensity, background transparency, and
color can also be used to attract attention to a selected sector(s).
[0021] To enable user interfacing and the exchange of monitored physiological data, in addition
to the display
18, the patient monitoring station
10 can also include a sector user interface or an input/output (I/O) portion
46 for each sector
26. The sector user interface
46 allows the user to view and/or manipulate the data of each sector
26 displayed on the display
18, e.g. a touch screen display. Alternatively, the monitoring station
10 optionally incorporates a keypad, keyboard, touch sensitive screen, or other user
input device (not shown) to enable user input.
[0022] In one embodiment, the user interface
46 also allows the user to define specific sectors
26 of the display
18 in an auto-collapse mode, auto-expand mode, or collapse to background mode. In auto-collapse
mode, sectors
26 are automatically displayed in a collapsed format
44 upon receiving no physiological data from the corresponding buffer
14, being placed in a standby mode by the controller
16, or through the user selection to configure the sector
26 to an auto-collapse mode. In auto-expand mode, sectors
26 of the display
18 are automatically displayed in an expanded format
42 upon receiving valid physiological data from the buffer
14, receiving physiological data indicative of a pending patient event, or alarm conditions.
In a collapse to background mode, the sectors
26 are in a collapsed format
44 and attached to the background of the display
18.
[0023] FIGURE 3 illustrates the core operation of the controller
16 of the patient monitoring system
10. In a step
50, the patient monitoring system
10 automatically creates a sector
26 of a display
18 corresponding to a patient bed
12 or the remote medical device
8. The physiological data received from the patient bed
12 or remote medical device
8 is displayed in the corresponding sector
26 of the display
18 in a step
52. In a step
54, the patient monitoring system
10 determines whether the patient bed
12 or remote medical device
8 is sending or the controller
16 is receiving physiological data from the buffer
14 of the patient bed
12 or remote medical device
8. In response to the patient bed
12 or remote medical device
8 not sending physiological data, the corresponding sector
26 of the display
18 is placed in a collapsed format
44 in a step
56. If the patient bed
12 or remote medical device
8 is sending physiological data, the patient monitoring system
10 determines whether the received physiological data are indicative of a pending medical
event or alarm condition in a step
58. In a step
60, the corresponding sector
26 displaying the received physiological data is placed in a collapsed format
44 in response to the physiological data not indicating a pending medical event or alarm
condition. In response to the received physiological data indicating a pending medical
event or alarm condition, the corresponding sector
26 of the display
18 is placed in an expanded format
42 in a step
62. The controller
16 is or includes a processor which is programmed to perform the steps
50-60.
[0024] FIGURES 4 and 5 illustrate a sector in the expanded format
42 alerting medical personal that a patient event or alarm condition has occurred regarding
a specific patient. The sector corresponding to the patient sending physiological
data indicative of a patient event or alarm is expanded in order to draw attention
to medical personal that such a condition exists. The expanded format sector
42 is enlarged so that is it larger than the collapsed format
44 sectors, yet positioned so that it does not fully obscure any of the fully or partially
collapsed format
44 sectors. The collapsed format
44 sectors need not necessarily be in a static area fixed to a certain location, but
can be movable along the screen. The expanded format
42 sectors indicating a patient event or an alarm condition can temporarily overlap
another expanded format sector
42 collapsed format sector
42 of a different patient. In another embodiment, the expanded format
42 sectors are resized such that all of the expanded sectors
42 are scaled to fit within a boundary of the display. In another embodiment, the patient
monitoring station
10 monitors a very large plurality of patients. For example, an EGG patch which wirelessly
connects with a hospital network can be attached to every patient. Although the patch
is applied to a large number of patients, all the patients are monitored by collapsing
the sectors of all of the patients. Any patient whose patch signal is indicative of
a patient event or alarm automatically expands to alert medical personal of such a
condition and/or other sectors collapse. A list canbe provided to the user to navigate
to the patient, bed, or device and force the object ot a sector or area.
[0025] FIGURE 4 illustrates the patient monitoring station
10 in which the sectors
26 are configured in an auto-collapse mode and a collapse-to background mode. The sectors
26 receiving physiological data are in a collapsed format
42 and are attached to the background of the display
18. In FIGURE 4, the bottom left sector has received physiological data indicative of
an alarm condition and has been placed in an expanded format
42. The expanded format sector
42 is enlarged so that it is larger than the collapsed format
44 sectors, yet positioned so that it does not fully obscure any other sector
26. A plurality of sectors can be expanded concurrently to a uniform or non-uniform size,
color, or transparency that is related to the severity of the patient's condition.
The expanded form of the sector
42 can be displayed as a transparent object so the user can visualize the presence of
another alert or event below the area consumed by the expanded area. Optionally, this
window is movable or draggable by the user. FIGURE 5 illustrates the patient monitoring
station
10 in a bedside patient monitor. The physiological data being monitored by bedside monitor
is displayed in the background
64 of the display
18. Remote medical devices
8 and patient beds
12 of the same hospital wing or floor are displayed in sectors with the collapsed format
44 so that a doctor may monitor all the patients of the wing or floor while at a patient's
bedside. In response to a patient event or alarm condition of one of the other patients
in the same hospital or floor, the sector corresponding to the patient with the event
or alarm condition expands to the expanded format
42. In another embodiment, the display
18 of the patient monitoring system
10 is the display of a PDA, PC, tablet PC, and the like.
[0026] The invention has been described with reference to the preferred embodiments. Modifications
and alterations may occur to others upon reading and understanding the preceding detailed
description. It is intended that the invention be constructed as including all such
modifications and alterations insofar as they come within the scope of the appended
claims or the equivalents thereof.
1. A patient monitoring station for monitoring a plurality of patient beds
(10) comprising:
a display (18) for displaying a plurality of sectors (26);
a controller (16) configured to automatically create one or more sectors (26), each sector corresponding to a patient bed or a remote medical device associated
with a patient in a patient bed, and to display patient data received from one or
more remote medical devices (8) in a corresponding sector (26) of the display (18), the controller (16) programmed to or including means to automatically display a sector (26) in an expanded format upon receiving patient data from the corresponding one or more
remote medical devices (8) or upon receiving patient data indicative of a pending patient event or alarm condition,
wherein the sector in the expanded format includes a full representation of the patient
data; and
at least one of
automatically display a sector (26) in the expanded format at least partially transparent; or
automatically display a sector (26) in a collapsed format in response to one of (1) not receiving patient data from the
corresponding remote patient monitor (8) or (2) receiving patient data not indicative of a pending patient event, caregiver
workflow, change in health care state, or alarm condition, wherein the sector in the
collapsed format includes a limited representation of the patient data;
the controller
(16) is further programmed to or includes means to resize the sectors
(44) in the collapsed format such that all the sectors
(44) in the collapsed format are of a uniform size and resize the sectors
(42) in the expanded format such that all the sectors
(42) in the expanded format are of a uniform size, wherein the sectors
(26) are scaled to fit within a boundary of the display
(18).
2. The patient monitoring station (10) according to claim 1, wherein the controller (16) is further programmed to or includes means to expand a size of the sector (42) in the expanded format based on a severity of the alarm condition or time elapsed
since the alarm condition, wherein the alarm condition is based on a measured physiological
parameter in the patient data exceeding a time, severity, or escalation parameter.
3. The patient monitoring station (10) according to any one of claims 1-2, wherein the controller (16) is further programmed to or includes means to:
control the display (18) to represent a sector (44) in the collapsed format by a small object including the limited representation of
the patient data; and
control the display (18) to represent a sector (44) in the expanded format by the full representation of the patient data.
4. The patient monitoring station (10) according to any one of claims 1-3, wherein each sector (44) in the collapsed format is represented by a small object comprising a bed label (30), patient ID (30), or other representations of patient grouping, and a patient's highest priority monitored
physiologic parameter (42) or indication of wellness, and wherein each sector (42) in the expanded format is represented by a full size object including the full representation
of the received patient data.
5. The patient monitoring station (10) according to any one of claims 1-4, wherein the display (18) is incorporated in one or more of a PDA, tablet PC, and patient bedside monitor.
6. A method of displaying medical parameters for a plurality of patients, the method
comprising:
automatically creating one or more display sectors, each sector corresponding to a
patient bed or a remote medical device associated with a patient in a patient bed;
displaying medical parameters received from one or more remote medical devices (8) in a corresponding sector (26) of a display (18);
automatically displaying a sector (26) in an expanded format upon receiving medical parameters indicative of a pending patient
event, caregiver workflow, change in healthcare state, or alarm condition, wherein
the sector in the expanded format includes a full representation of the medical parameters;
and,
one of
automatically displaying a sector (26) in the expanded format at least partially transparently; or
automatically displaying a sector (44) of the display (18) in a collapsed format in response to one of (a) the corresponding remote medical
device (8) not sending patient data and (b) the received patient data not indicating a pending
patient event, wherein the sector in the collapsed format includes a limited representation
of the medical parameters the method further includes:
resizing the sectors (44) in the collapsed format such that all the sectors (44) in the collapsed format are of a uniform size and resizing the sectors (42) in the expanded format such that all the sectors (42) in the expanded format are of a uniform size, wherein the sectors (26) are scaled to fit within a boundary of the display (18).
7. The method according to claim 6, further including:
representing each sector (44) in the collapsed format by a small object including the limited representation of
the medical parameters; and
representing a sector (44) in the expanded format by the full presentation of the medical parameters.
8. The method according to any one of claims 6-7, further including:
representing each sector (44) in the collapsed format by a small object comprising a bed label (30), patient ID (30), and a patient's highest priority monitored physiologic parameter (42) or indication of wellness.
9. The method according to any one of claims 6-8, further including:
resizing a sector (26) in the expanded format based on a severity of the alarm condition or a time elapsed
since the alarm condition, wherein the alarm condition is based on a measured physiological
parameter in the patient data exceeding a time, severity, or escalation parameter.
10. The method according to any one of claims 6-9, wherein the display (18) is incorporated in one or more of a PDA, tablet PC, and patient bedside monitor.
11. The method according to any one of claims 6-10, further including:
determining whether each of the plurality of remote medical devices (8) is sending patient data; and
determining whether the patient data indicates a pending patient event in response
to a remote medical device (8) sending patient data.
12. A computer readable medium (23) containing software which when loaded into a processor (25) programs the processor (25) to perform the method according to any one of claims 6-11.
13. A patient monitoring system
(10) comprising:
a plurality of remote medical devices (8); and
a patient monitoring system (10) according to any one of claims 1-5, or a patient monitoring system (10) having a
display (18) and a controller (16) programmed to perform the method according to any one of claims 6-11.
1. Patientenüberwachungsstation zum Überwachen einer Vielzahl von Patientenbetten
(10), umfassend:
eine Anzeige (18) zum Anzeigen einer Vielzahl von Bereichen (26);
eine Steuerung (16), die dazu konfiguriert ist, automatisch einen oder mehrere Bereiche (26) zu erstellen, wobei jeder Bereich einem Patientenbett oder einer fernen medizinischen
Vorrichtung entspricht, die einem Patienten in einem Patientenbett zugeordnet ist,
und Patientendaten, die von einer oder mehreren fernen medizinischen Vorrichtungen
(8) empfangen werden, in einem entsprechenden Bereich (26) der Anzeige (18) anzuzeigen, wobei die Steuerung (16) dazu programmiert ist oder Mittel einschließt, um bei Empfangen von Patientendaten
von der entsprechenden einen oder den mehreren fernen medizinischen Vorrichtungen
(8) oder bei Empfangen von Patientendaten, die auf ein ausstehendes Patientenereignis
oder einen Alarmzustand hinweisen, einen Bereich (26) automatisch in einem erweiterten Format anzuzeigen, wobei der Bereich im erweiterten
Format eine vollständige Darstellung der Patientendaten einschließt; und
mindestens eines aus
einen Bereich (26) im erweiterten Format automatisch mindestens teilweise transparent anzuzeigen; oder
in Antwort auf eines aus (1) Nichtempfangen von Patientendaten von dem entsprechenden
fernen Patientenüberwachungsgerät (8) oder (2) Empfangen von Patientendaten, die nicht auf ein ausstehendes Patientenereignis,
einen Pflegepersonal-Arbeitsablauf, eine Veränderung im Gesundheitsversorgungsstatus
oder einen Alarmzustand hinweisen, einen Bereich (26) automatisch in einem reduzierten Format anzuzeigen, wobei der Bereich im reduzierten
Format eine eingeschränkte Darstellung der Patientendaten einschließt;
die Steuerung (16) weiter dazu programmiert ist oder Mittel einschließt, um die Bereiche (44) im reduzierten Format derart in der Größe anzupassen, dass alle die Bereiche (44) im reduzierten Format von einer einheitlichen Größe sind, und die Bereiche (42) im erweiterten Format derart in der Größe anzupassen, dass alle die Bereiche (42) im erweiterten Format von einer einheitlichen Größe sind, wobei die Bereiche (26) so skaliert werden, dass sie innerhalb eine Umgrenzung der Anzeige (18) passen.
2. Patientenüberwachungsstation (10) nach Anspruch 1, wobei die Steuerung (16) weiter dazu programmiert ist oder Mittel einschließt, um eine Größe des Bereichs
(42) im erweiterten Format auf Basis eines Schweregrads des Alarmzustands oder einer Zeitdauer,
die seit dem Alarmzustand verstrichen ist, zu erweitern, wobei der Alarmzustand auf
einem gemessenen physiologischen Parameter in den Patientendaten basiert, der eine
Zeitdauer, einen Schweregrad oder einen Eskalationsparameter übersteigt.
3. Patientenüberwachungsstation
(10) nach einem der Ansprüche 1-2, wobei die Steuerung
(16) weiter dazu programmiert ist oder Mittel einschließt, um:
die Anzeige (18) so zu steuern, dass ein Bereich (44) im reduzierten Format mit einem kleinen Objekt angezeigt wird, das die eingeschränkte
Darstellung der Patientendaten einschließt; und
die Anzeige (18) so zu steuern, dass ein Bereich (44) im erweiterten Format mit der vollständigen Darstellung der Patientendaten dargestellt
wird.
4. Patientenüberwachungsstation (10) nach einem der Ansprüche 1-3, wobei jeder Bereich (44) im reduzierten Format mit einem kleinen Objekt dargestellt wird, das eine Bettenbezeichnung
(30), Patienten-ID (30), oder sonstige Patientengruppierungs-Darstellungen, und einen überwachten physiologischen
Parameter (42) oder Befindlichkeitshinweis von höchster Priorität des Patienten umfasst, und wobei
jeder Bereich (42) im erweiterten Format mit einem Objekt in vollständiger Größe dargestellt wird, das
die vollständige Darstellung der empfangenen Patientendaten einschließt.
5. Patientenüberwachungsstation (10) nach einem der Ansprüche 1-4, wobei die Anzeige (18) in einem oder mehreren aus einem PDA, Tablet-PC und Überwachungsgerät am Patientenbett
integriert ist.
6. Verfahren zum Anzeigen von medizinischen Parametern für eine Vielzahl von Patienten,
wobei das Verfahren umfasst:
automatisches Erstellen von einem oder mehreren Anzeigebereichen, wobei jeder Bereich
einem Patientenbett oder einer fernen medizinischen Vorrichtung entspricht, die einem
Patienten in einem Patientenbett zugeordnet ist;
Anzeigen von medizinischen Parametern, die von einer oder mehreren fernen medizinischen
Vorrichtungen (8) empfangen werden, in einem entsprechenden Bereich (26) einer Anzeige (18);
automatisches Anzeigen eines Bereichs (26) in einem erweiterten Format bei Empfangen von medizinischen Parametern, die auf ein
ausstehendes Patientenereignis, einen Pflegepersonal-Arbeitsablauf, eine Veränderung
im Gesundheitsversorgungsstatus oder einen Alarmzustand hinweisen, wobei der Bereich
im erweiterten Format eine vollständige Darstellung der medizinischen Parameter einschließt;
und
eines aus
Anzeigen eines Bereichs (26) im erweiterten Format automatisch mindestens teilweise transparent; oder
Anzeigen eines Bereichs (44) der Anzeige (18) automatisch in einem reduzierten Format in Antwort auf eines aus (a), dass die entsprechende
ferne medizinische Vorrichtung (8) keine Patientendaten sendet, und (b), dass die empfangenen Patientendaten nicht auf
ein ausstehendes Patientenereignis hinweisen, wobei der Bereich im reduzierten Format
eine eingeschränkte Darstellung der medizinischen Parameter einschließt,
das Verfahren weiter einschließt:
Anpassen der Größe der Bereiche (44) im reduzierten Format derart, dass alle die Bereiche (44) im reduzierten Format von einer einheitlichen Größe sind, und Anpassen der Größe
der Bereiche (42) im erweiterten Format derart, dass alle die Bereiche (42) im erweiterten Format von einer einheitlichen Größe sind, wobei die Bereiche (26) so skaliert werden, dass sie innerhalb eine Umgrenzung der Anzeige (18) passen.
7. Verfahren nach Anspruch 6, weiter einschließend:
Darstellen jedes Bereichs (44) im reduzierten Format mit einem kleinen Objekt, das die eingeschränkte Darstellung
der medizinischen Parameter einschließt; und
Darstellen eines Bereichs (44) im erweiterten Format mit der vollständigen Darstellung der medizinischen Parameter.
8. Verfahren nach einem der Ansprüche 6-7, weiter einschließend:
Darstellen jedes Bereichs (44) im reduzierten Format mit einem kleinen Objekt, das eine Bettenbezeichnung (30), Patienten-ID (30) und einen überwachten physiologischen Parameter (42) oder Befindlichkeitshinweis von höchster Priorität des Patienten umfasst.
9. Verfahren nach einem der Ansprüche 6-8, weiter einschließend:
Anpassen der Größe eines Bereichs (26) im erweiterten Format auf Basis eines Schweregrads des Alarmzustands oder einer Zeitdauer,
die seit dem Alarmzustand verstrichen ist, wobei der Alarmzustand auf einem gemessenen
physiologischen Parameter in den Patientendaten basiert, der eine Zeitdauer, einen
Schweregrad oder einen Eskalationsparameter übersteigt.
10. Verfahren nach einem der Ansprüche 6-9, wobei die Anzeige (18) in einem oder mehreren aus einem PDA, Tablet-PC und Überwachungsgerät am Patientenbett
integriert ist.
11. Verfahren nach einem der Ansprüche 6-10, weiter einschließend:
Bestimmen, ob jede aus der Vielzahl von fernen medizinischen Vorrichtungen (8) Patientendaten sendet; und
in Antwort darauf, dass eine ferne medizinische Vorrichtung (8) Patientendaten sendet, Bestimmen, ob die Patientendaten auf ein ausstehendes Patientenereignis
hinweisen.
12. Computerlesbares Medium (23), das Software enthält, die, wenn sie in einen Prozessor (25) geladen wird, den Prozessor (25) so programmiert, dass er das Verfahren nach einem der Ansprüche 6-11 durchführt.
13. Patientenüberwachungssystem
(10), umfassend:
eine Vielzahl von fernen medizinischen Vorrichtungen (8); und
ein Patientenüberwachungssystem (10) nach einem der Ansprüche 1-5, oder ein Patientenüberwachungssystem (10), das eine
Anzeige (18) und eine Steuerung (16) aufweist, die dazu programmiert ist, das Verfahren nach einem der Ansprüche 6-11
durchzuführen.
1. Station de surveillance de patients pour surveiller une pluralité de lits de patients
(10), comprenant :
un appareil d'affichage (18) pour afficher une pluralité de secteurs (26) ;
un dispositif de commande (16) configuré pour créer automatiquement un ou plusieurs
secteurs (26), chaque secteur correspondant à un lit de patient ou à un dispositif
médical distant associé à un patient dans un lit de patient, et pour afficher des
données de patients reçues d'un ou plusieurs dispositifs médicaux distants (8) dans
un secteur correspondant (26) de l'appareil d'affichage (18), le dispositif de commande
(16) étant programmé ou comprenant des moyens pour afficher automatiquement un secteur
(26) en format déployé lors de la réception de données de patients venant des un ou
plusieurs dispositifs médicaux distants correspondants (8) ou lors de la réception
de données de patients indicatives d'un événement de patient ou d'une condition d'alarme
en cours, dans lequel le secteur en format déployé comprend une pleine représentation
des données de patients ; et
au moins l'un :
d'un affichage automatique d'un secteur (26) en format déployé de manière au moins
en partie transparente ; ou
d'un affichage automatique d'un secteur (26) en format réduit en réponse à une situation
parmi (1) la non réception de données de patients du moniteur de patients distant
correspondant (8) ou (2) la réception de données de patients non indicatives d'un
événement de patient, d'un flux de travail de soignants, d'un changement d'état des
soins de santé ou d'une condition d'alarme en cours, dans laquelle le secteur en format
réduit comprend une représentation limitée des données de patients ;
le dispositif de commande (16) est en outre programmé pour inclure des moyens pour
redimensionner les secteurs (44) en format réduit de sorte que tous les secteurs (44)
en format réduit aient une taille uniforme et redimensionner les secteurs (42) en
format déployé de sorte que tous les secteurs (42) en format déployé aient une taille
uniforme, dans laquelle les secteurs (26) sont conçus pour s'ajuster dans les limites
de l'appareil d'affichage (18).
2. Station de surveillance de patients (10) selon la revendication 1, dans laquelle le
dispositif de commande (16) est en outre programmé ou inclut des moyens pour déployer
une taille du secteur (42) en format déployé sur la base d'une gravité de la condition
d'alarme ou du temps écoulé depuis la condition d'alarme, dans laquelle la condition
d'alarme est basée sur un paramètre physiologique mesuré des données de patients dépassant
un certain temps, une certaine gravité ou un paramètre de majoration.
3. Station de surveillance de patients (10) selon l'une quelconque des revendications
1-2, dans laquelle le dispositif de commande (16) est en outre programmé ou comprend
des moyens pour :
commander l'appareil d'affichage (18) pour représenter une secteur (44) en format
réduit par un petit objet incluant la représentation limitée des données de patients
; et
commander l'appareil d'affichage (18) pour représenter un secteur (44) en format déployé
par la pleine représentation des données de patients.
4. Station de surveillance de patients (10) selon l'une quelconque des revendications
1-3, dans laquelle chaque secteur (44) en format réduit est représenté par un petit
objet comprenant une étiquette de lit (30), un ID de patient (30) ou d'autres représentations
d'un groupement de patients, et un paramètre physiologique surveillé (42) de la plus
haute priorité pour les patients ou une indication de bien-être, et dans laquelle
chaque secteur (42) en format déployé est représenté par un objet de pleine taille
incluant la pleine représentation des données de patients reçues.
5. Station de surveillance de patients (10) selon l'une quelconque des revendications
1-4, dans laquelle l'appareil d'affichage (18) est incorporé à l'un ou plusieurs d'un
PDA, d'un PC de tablette et d'un moniteur de lit de patient.
6. Procédé d'affichage de paramètres médicaux pour une pluralité de patients, le procédé
comprenant :
la création automatique d'un ou plusieurs secteurs d'affichage, chaque secteur correspondant
à un lit de patient ou à un dispositif médical distant associé à un patient dans un
lit de patient ;
l'affichage de paramètres médicaux reçus d'un ou plusieurs dispositifs médicaux distants
(8) dans un secteur correspondant (26) d'un appareil d'affichage (18) ;
l'affichage automatique d'un secteur (26) dans un format déployé lors de la réception
de paramètres médicaux indicatifs d'un événement de patient, d'un flux de travail
de soignants, d'un changement d'état de santé ou d'une condition d'alarme en cours,
dans lequel le secteur en format déployé comprend une pleine représentation des paramètres
médicaux ; et
l'une des situations suivantes :
l'affichage automatique d'un secteur (26) en format déployé de manière au moins en
partie transparente ;
l'affichage automatique d'un secteur (44) de l'appareil d'affichage (18) en format
réduit en réponse à une situation où (a) le dispositif médical distant correspondant
(8) n'envoie pas de données de patients et (b) les données de patients reçues n'indiquent
pas un événement de patient en cours, dans laquelle le secteur en format réduit comprend
une représentation limitée des paramètres médicaux,
le procédé comprenant en outre :
le redimensionnement des secteurs (44) en format réduit en sorte que tous les secteurs
(44) en format réduit aient une taille uniforme et le redimensionnement des secteurs
(42) en format déployé de sorte que tous les secteurs (42) en format déployé aient
une taille uniforme, dans laquelle les secteurs (26) sont conçus pour s'ajuster dans
les limites de l'appareil d'affichage (18).
7. Procédé selon la revendication 6, comprenant en outre :
la représentation de chaque secteur (44) en format réduit par un petit objet incluant
la représentation limitée des paramètres médicaux ; et
la représentation d'un secteur (44) en format déployé par la pleine présentation des
paramètres médicaux.
8. Procédé selon l'une quelconque des revendications 6-7, comprenant en outre :
la représentation de chaque secteur (44) en format réduit par un petit objet comprenant
une étiquette de lit (30), une ID de patient (30) et un paramètre physiologique surveillé
(42) de la plus haute priorité pour le patient ou une indication de bien-être.
9. Procédé selon l'une quelconque des revendications 6-8, comprenant en outre :
le redimensionnement d'un secteur (26) en format déployé sur la base de la gravité
de la condition d'alarme ou d'un temps écoulé depuis la condition d'alarme, dans lequel
la condition d'alarme est basée sur un paramètre physiologique mesuré dans les données
de patients dépassant un certain temps, une certaine gravité ou un paramètre de majoration.
10. Procédé selon l'une quelconque des revendications 6-9, dans lequel l'appareil d'affichage
(18) est incorporé à un ou plusieurs d'un PDA, d'un PC de tablette et d'un moniteur
de lit de patient.
11. Procédé selon l'une quelconque des revendications 6-10, comprenant en outre :
la détermination du fait que chacun de la pluralité de dispositifs médicaux distants
(8) envoie ou non des données de patients ; et
la détermination du fait que les données de patients indique ou non un événement de
patient en cours en réponse à un dispositif médical distant (8) qui envoie des données
de patients.
12. Support lisible par ordinateur (23) contenant un logiciel qui, lorsqu'il est chargé
dans un processeur (25), programme le processeur (25) pour effectuer le procédé selon
l'une quelconque des revendications 6-11.
13. Système de surveillance de patients (10) comprenant :
une pluralité de dispositifs médicaux distants (8) ; et
un système de surveillance de patients (10) selon l'une quelconque des revendications
1-5 ou un système de surveillance de patients (10) ayant un appareil d'affichage (18)
et un dispositif de commande (16) programmé pour effectuer le procédé selon l'une
quelconque des revendications 6-11.